| NPI | 1093942955 |
|---|---|
| Doing Business As | MIDDLE RIVER FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JAMIE L. STEELE-WHITE Credentialing Associate 410-933-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |